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25C-251 (84) � z5l City of Northampton r' Massachusetts DEPARTMENT OF BUILDING INSPECTIONS !. 212 Main Street • Municipal Building �t r � Northampton, MA 01060 ACCESSORY STRUCTURE PERMIT APPLICATION (For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure) Check# PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: 6 't r092 2 5'%i2L i Telephone: y/L 2. Owner of Property: Address: Telephone: 3. Status of Applicant:✓Owner Contractor 4. Structure Location: i�4=(Z G 2(,L,.-U 4- Parcel ID:Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Use of Property:Single or Two Family: Multifamily: Commercial: ✓ 6. Description of Proposed Structure: One Story Shed under 200 sq.ft.: Freestanding Deck under 200 sq.ft.,less than 30"above grade: Size• l Other(describe): I E t✓i S Q_ �EQ R 171 y S i G K `0 S 5": (�G . 4 J- S_Qy�'.►pJ 6 J 7. Attached Plans:Sketch Plan Site Plan Plot Plan 8. Does the site contain a brook, body of water or wetlands? NO ✓DON'T KNOW YES IF YES: Has a permit been, or need to be, obtained from the Conservation Commission? Needs to be obtained Obtained , Date issued CONTINUED ON NEXT PAGE OK 9 � -